Individual provider Active NPI

Jeffrey Majewski, MSW, LICSW

  • Clinical Social Worker
  • Bridgeport, WV
National Provider Identifier
1720411788
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00943491 Issued in WV
Practice address
327 Medical Park Dr
Bridgeport, WV 26330
Phone
(681) 342-7500
Fax
(681) 342-7509
NPI assigned
Aug 14, 2013
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00943491 WV Primary

Addresses

Primary practice location

327 Medical Park Dr
Bridgeport, WV 26330

Mailing address

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908002813 WV Practitioner - Clinical Social Worker 5294199295 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00943491WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. CurrentSince Aug 25, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc CurrentSince Aug 25, 2023 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Aug 25, 2023 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Aug 25, 2023 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Aug 25, 2023 Accepting new patients

Locations

37 W Main St
Buckhannon, WV 26201
Phone (304) 472-1712

107 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

133 Staunton Dr
Weston, WV 26452
Phone (304) 269-9510

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

509 Berlin Rd
Weston, WV 26452
Phone (304) 269-0029

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1720411788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309006",
            "telephone_number": "681-342-7500",
            "fax_number": "681-342-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "681-342-7500",
            "fax_number": "681-342-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJEWSKI",
        "first_name": "JEFFREY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.